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NPI Code Detail

MEDICARE: MAGANLAL G MISTRY MD

MEDICARE: MAGANLAL G MISTRY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology Physician1405871NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386681021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGANLAL G MISTRY MD
Provider Business Mailing Address
First Line : 441 9TH AVE
Second Line : CREDENTIALING 3RD FL
City : NEW YORK
State : NY
Zip : 10001-1623
Country : US
Telephone Number : 646-680-2894
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 3245 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3716
Country : US
Telephone Number : 718-615-3777
Fax Number : 718-615-3404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/08/2015

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